Ashley V Jerry PTA

NPI 1164627626 - Physical Therapy Assistant - 225200000X

NPI Details
NPI 1164627626
Gender Female
Enumeration Date 06/15/2007
Last Updated 07/08/2007
Entity Type Individual
Active Over 9 years ago
Practice Location
2993 SUNSET BLVD
WEST COLUMBIA SC, 29169-3421, US
Phone (803) 939-0026
Fax
Business Location
1327 TROJAN RD
MONETTA SC, 29105-9309, US
Phone (803) 295-8293
Fax
Toxanomy
Taxonomy Code 225200000X
License State South Carolina
License Number 2096
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According to our database, Ashley V Jerry PTA NPI is 1164627626, taxonomy code is 225200000X and license number is 2096, license state is located at South Carolina. Ashley V Jerry PTA physically located at 2993 Sunset Blvd, West Columbia SC, 29169-3421. NPI Number Ashley V Jerry PTA has the Individual type.

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1164627626 NPI number is provided on an as is basis without warranty of any kind. 1164627626 is maintained by the National Plan & Provider Enumeration System. The contents of Ashley V Jerry PTA are for informational purposes only.